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PERCEPTION OF WOMEN OF REPRODUCTIVE AGE TOWARDS LONG-ACTING CONTRACEPTIVE (LAC) COUNSELING OF FAMILY PLANNING COUNSELORS: A QUALITATIVE STUDY Asdawati Asdawati; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Long-acting contraceptive (LAC) is one kind of birth control method for preventing, spacing pregnancy or stopping the fertility for an extended period. Increasing the number of LAC user can be done by providing a good quality of LAC counseling. This study aims to explore the perception of reproductive woman in LAC counseling by family planning counselors. Methods: This study was a qualitative study with Rapid Assessment Procedure (RAP) design. This study conducted in Bontomatene, Selayar Island on April 2019. There were 6 samples that represent 3 samples used LAC and 3 samples used non-LAC. The in-depth interview was used to get the information and the interactive model analysis was used in analyzed the data. Results: 5 of 6 respondents mentioned when the family planning counselor explained LAC used native language was easier to understand. The counseling by family planning counselor was already good because the counselor explained in detail information about LAC, visited the house of respondents to give information and did not push the respondents to select contraceptive methods. Conclusions: The reproductive woman in Bontomatene, Selayar Island feel more comfortable with LAC counseling held by family planning counselor if using native language, explain in detail information and not force respondent to use LAC methods. Keywords : Counseling, Long-Acting Contraceptive, Perception of Woman Reproductive Age

ANALYSIS OF CST (CASE, SUPPORT AND TREATMENT) AT H ABDUL MANAP HOSPITAL IN JAMBI CITY IN 2018 Cici Lia Nopita; Mardiati Nadjib
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The CST clinic of H. Abdul Manap, the regional public hospital is the only type-C a hospital which provides ARV (Anti Retro Viral) treatment service in Jambi City. However, in the past five years, the trend of CST clinic utilization has tended to decrease. This research aims to analyze the factors affecting the decrease in the utilization of the CST clinic of H. Abdul Manap regional public hospital, Jambi City. Method: This study was used the qualitative method with purposive sampling technique. This research conducted in 37 participants were employed to obtain the primary data sources from observation and in-depth interviews with key informants. Those key informants included the management team (3 people), CST Clinic team (7 people), PLWHAs (18 people) and peer counselors (8 people) as well as FGDs (Focus Group Discussions). Results: The commitment of the concerned stakeholders, especially the chairman of the hospital and the CST team members in administering the CST service, has not been maximum. The budget allocation for CST clinic in the hospital was only for and limited to staff incentives. There had been no position for team leaders and case managers, while the doctors and staffs had not received any CST training. Some staffs even served double jobs. Conclusion: The service SOP, as well as the scheduled and continuous monitoring on SOP implementation and progress evaluation according to CST Clinic performance indicators, are required. The necessary of regional policies related to CST service, especially for the provision of CD4 reagents and tariffs; and the hospital director's decree to instruct not to refuse to treat PLWHA are also required. The Implication is a strong commitment from all stakeholders, especially the chairman of the hospital and the CST team members are required to improve the clinic utilization. Keywords: Analysis, Service System, CST Clinic

THE IMPLEMENTATION OF CODE STEMI PROGRAM TO AFFECT THE QUALITY OF HEALTHCARE IN ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) PATIENTS: A SYSTEMATIC LITERATURE REVIEW Eka Ginanjar; Amal C Sjaaf
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: The Clinical importance of coronary artery disease manifests as Acute Coronary Syndrome with the highest mortality is known as ST-Elevation Myocardial Infarction (STEMI). Delay in STEMI management not only affect mortality and complications, but also healthcare quality. The CODE STEMI program was developed to shorten the time and reduce delay in treatments for STEMI patients. This study aims to review the effect of CODE STEMI program implementation on clinical outcome and healthcare quality in STEMI patients. Methods: This study was a systematic review of literature that used meta-analysis (PRISMA) protocol. Data obtained from Electronic databases Google Scholar, PubMed, and MEDLINE that published over several years and we began on May 2019. Assessment of healthcare quality was based on Donabedian theory that consists of 7 main components, efficacy, effectiveness, efficiency, optimality, acceptability, legitimacy and equity. Analysis between studies was reported as descriptive narration. Results: The search found 15 studies, of which 4 studies as the final results that are suitable for this literature review through the keyword findings CODE STEMI, STEMI, and quality of healthcare. Studies in several countries over the globe reported a decrease of door-to-balloon/ diagnosis-to-wire time. Some studies reported reduced mortality, complications, and cost after implementation of CODE STEMI program, while others only found insignificant trends. Conclusions: Implementation of CODE STEMI protocol made a better Quality of Healthcare. However, it needs further study to review and evaluate the effect of CODE STEMI implementation, especially on the quality of healthcare in STEMI patients. Keywords: CODE STEMI, STEMI, Quality of Healthcare, Donabedian Theory

THE STANDARDS OF MEDICAL CARE WITH SELF CARE FOR DIABETES MELLITUS OUTPATIENTS Handi Wirawan; Prastuti Soewondo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Diabetes mellitus (DM) is a chronic disease that will be carried for life. DM management requires the participation of doctors, nurses, nutritionists, and other health workers. Based on this, Diabetes mellitus (DM) requires awareness, self care and collaboration from all health workers. The awareness, self care and collaboration of health workers on the importance of carrying out two-way services in patients with diabetes mellitus are the supporting forces in the DM case control program according to the standard of medical care. This study is to find out the standard of medical care with self care for diabetes mellitus outpatients. Methods: A systematic review through an article review to find out the standard of medical care with self care for diabetes mellitus outpatients. The inclusion criteria for the articles used were diabetes mellitus outpatients self care, while the exclusion criteria were abstract articles, articles that did not use English and the non full text articles. Article search is limited to articles in English accessed from internet searches from databases, namely: NCBI and Knowledge E with the keyword standard medical care, self care, and diabetes mellitus. Results: Based on the 7 articles with the same title, the screening was carried out according to the criteria for inclusion and exclusion, obtained 5 articles for further review. Self care in diabetes is a series of skills that are very important to improve the effectiveness of self management in diabetes awareness of the patient itself and collaboration with health workers. Nurses deal with collaborative problems both between health workers and patients by using doctor's provisions and prescribed interventions, to minimize complications from the occurrence. Conclusion: One of the most factor that need to be improved to decreased the case of DM is how to maintain the self care of DM outpatients. It is very important because the self care is helping the outpatient with DM to maintain their own health. Because of that, the important recommendation for DM outpatient is to maintain and increasing their standard of medical care with self care. Keywords: the standard of medical care, diabetes mellitus, self care

PATIENT SAFETY CULTURE IMPROVEMENT TO ENHANCE THE QUALITY OF HEALTHCARE IN HARAPAN BUNDA HOSPITAL JAKARTA Hanifah Iskhia Dilla; Wachyu Sulistiadi
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: One of the achievements in running health care service institutions (hospitals) is providing strategic health care services to improve health status. Harapan Bunda Hospital is a private hospital located in East Jakarta. Whose vision is to become the preferred hospital by providing the best quality service. One of the implemented programs was reporting incidents in the unit to the QPS Committee. However, the incident that occurred in Harapan Bunda Hospital is still not widely reported regularly by officers in the unit. In addition, there are many discrepancies in service delivery in the form of safety. Therefore, it is necessary to measure the Safety Culture at Harapan Bunda Hospital. Methods: This research used quantitative method with design cross sectional and used descriptive analysis to seek whole picture of all patient safety variable that had been done by Harapan Bunda Hospital. The population in this research is all staff of Harapan Bunda Hospital which around 708 staff member. Researcher used systematic random sampling with Slovin calculation formula and get 256 minimum sample needed. Instrument used is Patient Safety Culture survey refer to Agency for Healthcare Research and Quality (AHRQ). Results: The result of mean measurement patient safety culture in Harapan Bunda Hospital is 72%, it means Harapan Bunda Hospital was moderate Patient Safety Culture. There are dimensions being focused to improving patient safety culture; the overall perception of patient safety, feedback and communication about errors, communication openness, frequency of incident reporting, staffing and non-punitive responses to errors. Conclusion: Meanwhile, the other 6 dimensions of safety culture have been included in the good category of safety culture. Thus, Harapan Bunda Hospital is expected to always carry out routine monitoring and evaluation of the measurement of safety culture. Keywords: Patient Safety Culture, Hospital, Quality of Healthcare

REDUCED LENGTH OF STAY IN CHILDREN WITH DIARRHEA FOLLOWING IMPLEMENTATION OF CLINICAL PATHWAY I Nyoman Gede Bayu Wiratama Suwedia; Atik Nurwahyuni
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Diarrhea or Acute Gastroenteritis (AGE) is a dissease that common found in toddlers at emergecy room. The complication of diarrhea such as dehydration may go undetected by parents will affect the treatment and length of stay in the hospital. Decreasing the length of stay in the hospital can be done by implementing clinical pathways. This studyaims to examine the effect of implementing clinical pathways on length of stay in children with diarrhea. Methods: This study was a systematic review that used PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Data obtained from Electronic databases Proquest and Scopus that published between 2009-2019 and used English. By using keywords such as clinical pathway, gastroenteritis, and length of stay to find the relevant articles. Results: The search found 610 studies, of which 6 studies were included in the systematic review. These studies conducted majority in USA and 1 study in Australia. Analysis of the studies found out that implemented clinical pathway can decrease length of stay 0.4 days (95% CI 0.04 to 0.7, p <0.01). The decreased of length of stay can increased 2.5% (CI 0.25% to 4.38%) used of medical beds then the bed can be more effective and used by other patients. Conclusion: Implementing clinical pathway in the treatment process of diarrhea towards children not only reduce the length of stay in hospital but also useful in providing patient diagnosed and reduce the bed use per day and year. Keywords: Clinical Pathway, Diarrhea, Gastroenteritis, Pediatric

FACTORS RELATED TO PENDING CLAIM IN INDONESIAN NATIONAL HEALTH INSURANCE (JKN): A SYSTEMATIC REVIEW I Nyoman Gede Semarajana; Prastuti Soewondo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The number of Indonesian National Health Insurance (JKN) member is increasing every year. It is bringing impact to the hospital and Social Security Organizing Agency (BPJS) of health. The hospital finances will face problem if BPJS of health pending or giving a smaller number of claims paid to the hospital. The hospital will get problem with employee payroll, payment of specialist medical services, drugs availability, and maintenance of hospital facilities and medical equipment. This study aims to analyze factors related to pending BPJS claim in Indonesian National Health Insurance. Methods: This study was a systematic review used PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) guidelines. Data obtained from journal database of Google Scholar that published between 2014-2019. The relevant studies must include factors related to pending claim in JKN. Results: The search found out 217 studies, of which 84 studies used English and Indonesia language and only 5 studies that eligible for this study. The 5 studies showed factors related to pending claim in JKN were human resources, administration, regulation, facilities, external and evaluation factors. Human resources factor more likely appeared as cause for pending BPJS claim. Conclusion: Factors related to pending claim in JKN were human resources, administration, regulation, facilities, external and evaluation factors. Human resources was the factor that most influenced for pending BPJS claim. The hospital must create strategies to overcome the factors that cause pending claim. The government should create a policy that can help BPJS of health overcome the deficit and protect the patients from facing decrease in the quality of hospital services. Keywords: Pending claim, BPJS, National Health Insurance (JKN)

FACTORS RELATED TO THE REDUCTION OF MEDICATION DISCREPANCIES AT TRANSITION OF CARE: A SYSTEMATIC REVIEW Ida Bagus Nyoman Maharjana; Adik Wibowo
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Adverse drug events (ADE) are a leading cause of injury and death within health care systems around the world. Up to 67% of patients’ prescription medication histories recorded on admission to hospital have one or more errors and 30 – 80% of patients have a discrepancy between the medicines ordered in hospital and those they were taking at home. This study aims to systematically evaluate the available literature on the medication history records as a quality improvement in reducing medication discrepancies during the transition of care. Methods: This study was used systematic review which performed according to the PRISMA method. The search included articles were obtained through databases: MEDLINE (1946), EMBASE (1966), CINAHL (1937) and PubMed (1946). Some of the key words or Medical Subject Heading (MeSH) terms used in the search were: “transition of care,” “medication discrepancies,” “medication errors,” “patient safety,” “medication history,” “patient admission,” “patient discharge,” “patient transfer,” and “hospital”. Only studies published in English were included. Exploring literature was focused on the articles published from 2009 to 2019. Results: Initially, a total of 162 potentially relevant articles were obtained. After screening tittle and reviewing abstracts, 14 full text were assessed for eligibility. Of the 10 articles met all inclusion criteria, 5 studies were randomized controlled trials, 2 quasi-experimental studies, 1 cohort study, and 2 qualitative studies with quantitative approaches. All studies found that involving best possible medication history in identifying medication discrepancies and communicating this information affected medication discrepancies in the medical record. Conclusions: The available literature such as lack of well-designed studies precluded us from concluding that no effect exists. Medication reconciliation supported by information technology was an important tool for minimizing the percentage of medications with unintentional discrepancies Keywords: Adverse drug events, Medication discrepancies, Patient safety, Transition of care

EFFECTIVENESS OF CAESAREAN SECTION CLINICAL PATHWAY TOWARDS HOSPITAL LENGTH OF STAY: A SYSTEMATIC REVIEW Maria Wahyu Daruki; Atik Nurwahyuni; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Improving quality and efficiency in hospital services can be done by using Clinical Pathway (CP). CP can decrease the hospital length of stay and cost. In indonsia, the increasing number of Caesarean Section (SC) affects to the Length of Stay (LOS) in hospital. This study aims to examine the effectiveness of clinical pathway in caesaren section to length of stay in the hospital. Methods: This study was a systematic review used PRISMA guidelines. Data obtained from Electronic journal databases Pubmed and ProQuest that published between 2014 until 2019 and used English language. By using keywords such as clinical pathway, childbirth labor, and length of stay to find the relevant journal. Results: The search found out 4,937, studies from 2 journal databases. The articles that not suitable with the criteria inclusion must be exclude. Totally, 6 studies were analyzed in this study. 1 study explained the affect of increasing length of stay in the National Health Insurance, 2 studies mentioned that CP was not affected to the length of stay in hospital and 3 studies mentioned that CP was reduced the length of stay in hospital. Conclusion: Clinical pathway in Caesarean section can reduced the length of stay in hospital. The hospital should implement the clinical pathway in caesarean section to increase the quality of hospital service and reduce the cost. Keywords: Clinical Pathway, Childbirth Labor, Length of Stay, Casearean Section

THE LEADERSHIP ROLE FOR A SUCCESSFUL CHANGE MANAGEMENT: A SYSTEMATIC LITERATURE REVIEW Meike Magnasofa; Mardiati Najib
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Globally there are significant concerns about the role of leadership in the disruptive era where change is inevitable. Organization needs a leader who can response those changes toward right direction to sustain. This review is to identify a more comprehensive relation between the leadership role and change management in the organization and its associated factors drawing upon systematic review of literatures published in the last ten years. Methods: This study used systematic literature review based on the PRISMA (Preferred Reporting Items for Systematic Reviews & Meta-Analyses) protocol to identify all the published articles using relevant keywords. We searched in Emerald Insight (2010-2019), Science Direct (2010-2019), and EBSCOhost (2010-2019) to retrieve relevant articles published in English language only between January 2010 and April 2019. The review used key terms and phrases associated with Leadership, Change Management, and Disruptive. The abstracts were reviewed according to inclusion criteria and quality assessment. Results: From 16,658 authors finally include 6 papers in this review. By the review, we noted that it is almost impossible to avoid change although resistance to change is real. There is a positive relation between leadership role and successful change management. The most significant subject and contributor for the successful change are the culture of change within the organization and the effective communication between leaders and their subordinates. The hindrances of change are lack of authority, uncertainly of role and lack of time and focus from the leaders. The findings of the study can be relevant for variety of settings as the study was conducted across cultures and sectors. Conclusions: Leaders need to understand and spread the ambience with their employee of 4 points; the clarity about the needs of change in their organization, the key alignments, complementary development strategies and critical enablement. The recommendation for future research is to review more leadership studies on disruptive era in health care sector only in order to get deeper understanding in homogeneity setting. For policy makers, it is suggested to design policy that enforces leaders to improve their leadership skill and updating knowledge. Keywords: Leadership Role, Change Management, Disruptive

Home Page

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Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email
info@inschool.id

Phone
-

Journal Mail Official
icash@inschool.id

Editorial Address
-

Location
Kota semarang,

Jawa tengah

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email info@inschool.id

Phone -

Journal Mail Official icash@inschool.id

Editorial Address -

Location Kota semarang, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email
info@inschool.id

Phone
-

Journal Mail Official
icash@inschool.id

Editorial Address
-

Location
Kota semarang,

Jawa tengah

INDONESIA